Home Phone:___________________________ Work Phone:___________________________
I am a new member. Yes______ No______
I am a renewing member. Yes______ No______
(All members receive the Bulletin several times a year as well as other League literature and information.)
Scholarships/reduced dues are available for student memberships please contact the League.
Annual Dues (for Indianapolis, State and National):
___ Regular Member $50.00
___ Two residing at same address $75.00
Your additional contribution helps the League of Women Voters make a positive impact on voting, citizenship and democracy.
___ To LWV-Indianapolis $__________
___ To help provide student member scholarships $__________
___ To LWV-Indianapolis Education Fund $__________
(tax deductible, must be paid with a separate check from membership dues)
I expect to be an active member____, an occasional participant____ or a supporter____.
Which THREE topics interest you the most? (Circle three.) Education, Natural Resources, Voter Service, Local Government Reform, Health & Welfare, Public Transit, Women's Issues, Other/Special Interest _________________
May we call on you for any of the following? (Circle all that apply) Contacting Members, Publicizing LWV Activities (PR), Tracking/Writing about an Issue, Serving on the Board of Directors, Observing Public Meetings, Registering Voters